Can Your Pillow Cause Hand Numbness While Sleeping? - Rehabilitation

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Numbness in the hands


Hello, Doctor: I often wake up with numbness in the back of my left hand while sleeping.
The numb area extends from above the elbow to the fingers.
No matter how I position my left hand after waking up, the numbness persists.
I have three pillows, all of which are health pillows.
The highest one supports my neck well, but it causes the most numbness while I sleep.
The second highest pillow provides some neck support, while the soft pillow sometimes feels too low.
At times it is comfortable, but other times it is not.
Could the pillow be causing the numbness in my hand? Thank you!

Anti, 30~39 year old female. Ask Date: 2008/01/04

Dr. Chen Xianchang reply Rehabilitation


Hello, Miss: Thank you for your inquiry.
I would like to respond to your question and provide the following suggestions:
1.
Generally speaking, the dorsal aspect of the hand is innervated by the radial nerve.
If there are no signs of upper limb fractures or compression, it is usually caused by compression of the cervical nerve root at the sixth cervical vertebra.

2.
You can select the appropriate ergonomic pillow using the following method:
a.
Have one person lie flat on their back with the pillow properly positioned.
Another person should reach towards the midline of the occipital bone; it should not be easy to reach in (indicating good support).

b.
When turning to the left or right side, the spinous processes of the cervical and upper thoracic vertebrae should align in a straight line, indicating that the pillow provides good support.

Finally, I wish you peace and happiness!

Reply Date: 2008/01/04

More Info


Yes, your pillow can indeed contribute to hand numbness while sleeping. The relationship between your sleeping position, the type of pillow you use, and the resulting symptoms can be quite significant. When you sleep, the position of your head, neck, and shoulders can affect the alignment of your spine and the nerves that run through your arms.
In your case, it sounds like you are experiencing numbness in your left hand, particularly from the elbow to the fingers. This could be due to several factors related to your pillow and sleeping posture. If your pillow is too high or too firm, it may cause your neck to be misaligned, which can lead to compression of the nerves that innervate your arm. Specifically, the brachial plexus, a network of nerves that sends signals from your spine to your shoulder, arm, and hand, can be affected. When these nerves are compressed, it can result in symptoms such as numbness, tingling, or weakness in the arm.

Additionally, if you sleep with your arm in an awkward position, such as under your head or body, it can also lead to nerve compression. This is often referred to as "Saturday Night Palsy," a condition where the radial nerve is compressed, leading to temporary paralysis or numbness in the arm.
To address this issue, consider the following measures:
1. Pillow Adjustment: Experiment with different types of pillows. A pillow that provides adequate support without elevating your head too much may help. Memory foam or cervical pillows are designed to maintain proper neck alignment and can be beneficial.

2. Sleeping Position: Pay attention to your sleeping position. Try to avoid sleeping on your arm or with your arm tucked under your head. Instead, sleep on your back or side with your arms in a neutral position.

3. Stretching and Strengthening: Incorporate gentle stretching and strengthening exercises for your neck and shoulders into your daily routine. This can help improve flexibility and reduce the risk of nerve compression.

4. Consult a Specialist: If the numbness persists, it may be wise to consult a healthcare professional, such as a neurologist or a physical therapist. They can perform a thorough assessment and may recommend nerve conduction studies or imaging to rule out any underlying conditions.

5. Monitor Other Symptoms: Keep track of any additional symptoms that may arise, such as pain, weakness, or changes in sensation. This information can be crucial for your healthcare provider in determining the cause of your symptoms.

In summary, while your pillow can contribute to hand numbness during sleep, it is essential to consider your overall sleeping posture and habits. Making adjustments to your pillow and sleeping position, along with seeking professional advice if necessary, can help alleviate your symptoms and improve your sleep quality.

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